Soi severity of illness - Study guides, Class notes & Summaries
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CDIP DOMAIN 5 RESEARCH & EDUCATION EXAM QUESTIONS AND ANSWERS.
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ROM 
Risk of mortality 
 
 
 
SOI 
Severity of illness 
 
 
 
 
Brainpower 
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MCC 
Major complication or comorbidity 
 
 
 
CC 
Complication or comorbidity 
 
 
 
MS-DRG 
Medicare Severity-Diagnosis Related Group 
 
 
 
LOS 
Length of stay 
 
 
 
CDI 
Clinical Documentation Improvement 
 
 
 
Clinical Documentation Improvement 
a program that promotes specificity and excellence in documentation 
 
 
 
Who participates in CDI program? 
Physicians and mid-levels, CDI specialists, coders, ...
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CDIP Domain 5: Research & Education graded A+ already passed 2023
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CDIP Domain 5: Research & Education graded A+ already passed 2023ROM - correct answer Risk of mortality 
 
SOI - correct answer Severity of illness 
 
MCC - correct answer Major complication or comorbidity 
 
CC - correct answer Complication or comorbidity 
 
MS-DRG - correct answer Medicare Severity-Diagnosis Related Group 
 
LOS - correct answer Length of stay 
 
CDI - correct answer Clinical Documentation Improvement 
 
Clinical Documentation Improvement - correct answer a program that promot...
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CDIP Domain 2: Leadership Questions and Answers 100% Correct!
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AHIMA - ANSWER-American Health Information Management Association 
 
ACDIS - ANSWER-Association of Clinical Documentation Improvement Specialists 
 
IDT - ANSWER-Interdisciplinary Team 
 
LOS - ANSWER-Length of Stay 
 
The RHIT, RHIA or CCS should have how many years of inpatient coding experience before becoming a CDI specialist? - ANSWER-at least 3-5 years 
 
Hospitalists - ANSWER-Physicians whose primary professional focus is the general medical care of hospitalized patients 
 
Timeframes for...
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CDIP Toolkit questions with correct answers
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recent drivers of CDI (p2) CORRECT ANSWER - MS-DRGs 2007 to reflect SOI/ROM 
- POA indicators 2008 
- Medicare Advantage/Part C (capitated, HCC) 
- some payers moving to APR DRGs 
- compliance reviews: RAC, Zone Program Integrity Contractors, Medicaid Integ Contractors 
 
purpose of CDI program (p2) CORRECT ANSWER to initiate concurrent and, as appropriate, retrospective reviews of health records for 
conflicting, incomplete, or nonspecific provider documentation. 
 
goal of CDI reviews (p2) COR...
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CDIP Exam Prep Questions and Answers 100% Accurate(GRADED A+)
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Cert - ANSWER-Comprehensive error testing rate 
 
Cpt - ANSWER-Current procedural terminology. The amas list of 5 digit codes used to report outpatient hospital and Physicians Medical and surgical services. CPT is used to report outpatient or Physician Office claims only and is updated annually in January. 
 
Hac - ANSWER-Hospital-acquired conditions are defined as for discharges occurring on or after October one 2008 ipps hospitals will not receive additional payment for cases when one of the s...
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CDIP Domain 2: Leadership (2022/2023) Already Passed
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CDIP Domain 2: Leadership (2022/2023) Already Passed AHIMA American Health Information Management Association 
ACDIS Association of Clinical Documentation Improvement Specialists 
IDT Interdisciplinary Team 
LOS Length of Stay 
The RHIT, RHIA or CCS should have how many years of inpatient coding experience before becoming a CDI specialist? at least 3-5 years 
Hospitalists Physicians whose primary professional focus is the general medical care of hospitalized patients 
Timeframes for completion o...
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CDIP Domain 5: Research & Education Questions and Answers!
- Exam (elaborations) • 2 pages • 2024
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ROM - ANSWER-Risk of mortality 
 
SOI - ANSWER-Severity of illness 
 
MCC - ANSWER-Major complication or comorbidity 
 
CC - ANSWER-Complication or comorbidity 
 
MS-DRG - ANSWER-Medicare Severity-Diagnosis Related Group 
 
LOS - ANSWER-Length of stay 
 
CDI - ANSWER-Clinical Documentation Improvement 
 
Clinical Documentation Improvement - ANSWER-a program that promotes specificity and excellence in documentation 
 
Who participates in CDI program? - ANSWER-Physicians and mid-levels, CDI specia...
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CDIP Domain 5 Research & Education 2023 Questions With Answers
- Exam (elaborations) • 13 pages • 2023
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SECTION A 
Accurate Coding Impacts - Medicare Severity Diagnosis Related Groups (DRGs) 
All Patient Refined (APR) - DRG 
Reimbursement 
Length of Stay (LOS) 
 
What is CDI - Clinical Documentation Improvement - Concurrent review of the chart to make sure documentation is complete to capture accurate coding and in turn creates proper reimbursement? 
 
Who participates in a CDI Program - Multi-disciplinary team approach includes: Physicians and advanced practitioners, documentation specialists, c...
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CDIP DOMAIN 3 RECORD REVIEW & DOCUMENT CLARIFICATION WITH VERIFIED SOLUTIONS
- Exam (elaborations) • 2 pages • 2023
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POA 
Present on admission 
 
 
 
Concurrent reviews 
CDI specialist reviews the patient record while the patient is in the hospital 
 
 
 
 
Brainpower 
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Ethical 
Conforming to accepted standards of conduct 
 
 
 
Ethical Queries 
Queries that do not lead the physician to a particular answer 
 
 
 
If you have two conflicting diagnoses by two providers, who should make the final decision? 
Attending physician 
 
 
 
Legible 
the record is clear enough for the reader to comprehend and e...
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CDIP Domain 3 Record Review & Document Clarification 2023 updated to pass
- Exam (elaborations) • 2 pages • 2023
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POA - correct answer Present on admission 
 
Concurrent reviews - correct answer CDI specialist reviews the patient record while the patient is in the hospital 
 
Ethical - correct answer Conforming to accepted standards of conduct 
 
Ethical Queries - correct answer Queries that do not lead the physician to a particular answer 
 
If you have two conflicting diagnoses by two providers, who should make the final decision? - correct answer Attending physician 
 
Legible - correct answer the ...
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